Contractor's Bill Check List

Date:-
From :

To:

Bill No._____ & Detail___________

Budget Code :
The above Bill for a sum of Rs. __________________ is sent along with the following
documents.

1 Bill is submitted on the Contractor’s letterhead

2 Signature of the Authorized Person of the Contractor on the Bill

3 Duly signed Measurement sheets

4 Material Advance Bills

Certificate of Quality Inspection - Pour card / Checklist for all items
5
of work
6 Change Order ( If Any)

7 Material Reconciliation Statement

(Details of Materials Received + Actual Material Consumption
Record + Record of Balance Materials + Material Consumption as
per Co-efficient Analysis)

8 Debit notes acknowledged/accepted by Contractor.

( Original debit note to be kept in custody of EIC.)

9 Details of Claims ( If Any)

Insurance Details - Policy Documents Supports and Valid Till
10
___________
11 Wage Sheet for the Month of _______

12 P.F. Payment Proof for the Month of ____________

13 ESIC Payment Proof for the Month of ____________

14 Completion certificate ( in case of final bill )

15 No Claim Certificate (On Contractor’s Letterhead for final bill)

Others :

Thanks & Regards,

Project Manager

Format No. LAVASA F 11 Date 20.08.2007 Page 1 of 1

 Abstract Sheet

Date:
Name of Project:
Name of Contractor:
R.A.Bill No. / Date: ______________________________________ Work done period : From __________ to ___________
Work Order No/ date: ____________________________________ Variation Order No______/ Date________ Amount Rs. ____________
Original Contract Price: Rs________________________________ Variation Order No______/ Date________ Amount Rs. ____________
Revised Contract Value: Rs. __________________________________
Mobilisation Advance amount Rs._________and BG Valid Till___________ Budget Code :
Amount of Retention Money Rs. _________and BG Valid Till___________

BOQ Previous Previous

Sr. This Bill Cumulative This Bill Cumulative
Description Unit Rate Quantit paid paid
No. Quantity Quantity Amount Amount
y Quantity Amount
1 2 3 4 5 6 7 8=(6+7) 9 10 11=(9+10)
1 Value of Work done as per BOQ
a BOQ items only -- A
b Escalation -- B
c Additional / Extra Items -- C
d Other (specify) -- D
Value of Work done ( E )

2 Value of Advances
a Mobilisation advance -- F
b Material advance -- G
Value of Advances -- H

3 Deduction / Recovery on A/c of

a Mobilisation Advance on (A)
b Retention Amount @ ___% on (A + B)
c Debit for Material / Labour supply by Lavasa
d Debit for Workmanship
Value of Deduction = ( I )

Format No. LAVASA F 12 Date 20.08.2007 2 of 8

 Abstract Sheet

BOQ Previous Previous

Sr. This Bill Cumulative This Bill Cumulative
Description Unit Rate Quantit paid paid
No. Quantity Quantity Amount Amount
y Quantity Amount
1 2 3 4 5 6 7 8=(6+7) 9 10 11=(9+10)

5 Net Payment Amount : J =( E- H- I )

6 Statutory Deductions
a TDS
b VAT
Value of Statutory Deductions (K)

Net Payable Amount by Cheque

7
=(J-K)
Net Payable Amount ( in words) Rs.

Prepared by QS site: (Name) Checked by SIC site: (Name) Certified by Works Manager -
Bill agreed and accepted by the Contractor

Seal & Signature of Contractor Certified by (P.M.) - Verified by QS of Project Control Cell

Format No. LAVASA F 12 Date 20.08.2007 3 of 8

 MEASUREMENT SHEET

Name Of Contractor :- _______________________

Work Order No. :- _______________________ Budget Code: ___________

Work Done Period :- _______________________

Details Of Work :- _______________________

No. _____ / Page ____
DATE: / /

Sr. Ref. in
Particular No. Length Breadth Height Quantity Unit Remarks
No. Abstract

Checked By QSS Verified by SIC/WM

 BAR BENDING SCHEDULE

Name Of Contractor :- _______________________

Work Order No. :- _______________________

Work Done Period :- _______________________

Details Of Work :- _______________________ Budget Code: _______________

Drawing No. : ________________________ Page No. : __________________

Weight in Kgs.
Dia of Nos. of Overall Total Wt
Bar Mark Shape of Bar 8 mm 10 mm 12 mm 16 mm 20 mm 25 mm 32 mm
Bar bar length (m) (Kg)
Wt. / m (Kg/m) 0.395 0.617 0.889 1.580 2.469 3.858 6.321

Sub Total:

Signature of Contractor : Checked by SIC : Checked by QSS : Verified by WM :

Name : Name : Name : Name :
 MATERIAL ADVANCE FORMAT

Date: ___/____/
Name Of Contractor :- _______________________

Work Order No. :- _______________________

Work Done Period :- _______________________

Details Of Work :- _______________________

Budget Code. : ________________________

R.A.Bill No. / Date: _____________________

Sr. Amount
Date Description of Materials Unit Rate Quantity Challan No. Name of Supplier Inward No.
No. (Rs.)
A Previous Bill Material Details

B Material Received during this Bill

Total ( A )

C Material Consumed during this month

Total ( B )

D Net Material Advance Value for this Month =( A + B - C )

Bill agreed and accepted by the Contractor

Seal & Signature of Contractor Checked by QSS : Checked by SIC / WM : Certified by (P.M.) -(Name)

Format No. LAVASA F 13 Date 20.08.2007 6 of 8

 RECONCILIATION OF FREE ISSUED MATERIALS

Name Of Contractor :- _______________________ Date :- _______________

Work Order No. :- _______________________ Budget Code :- ______________

Work Done Period :- _______________________

Details Of Work :- _______________________

Wastage
Total
Sr Net Recoverable
Item Description Unit Consumption Allowable Wastage Consumption Balance Remarks
No. Issued wastage Qty
Quantity With Wastage
in %
(8) = (3) -
(1) (2) (3) (4) (5) (6) (7) = (4)+(6)
(7)
1
2
3
4
5
6
7
8
9
10

Signature of Contractor : Checked by QSS : Checked by SIC / WM :

Name :

Format No. LAVASA F 14 Date 20.08.2007 7 of 8

 DEBIT NOTE
Debit Note No. _________ Date: _____________
Name Of Contractor :- _______________________

Work Order No. :- _______________________

Work Done Period :- _______________________

Details Of Work :- _______________________

Budget Code : ____________________________

Sr. No. PARTICULARS UNIT QTY RATE AMOUNT REMARKS

Handling charges @

TOTAL AMOUNT -

Amount in words RS.

Debit Agreed and Accepted by the Vendor

Prepared by SIC/WM Approved by P.M. Seal & Signature

of Contractor/ Vendor

Format No. LAVASA F 15 Date 20.08.2007 8 of 8